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Winds of change:

Winds of change:. A struggle to win buy-in and build a strong simulation program. Donna Ricketts, MSN, RN, CNE, OCN Cindy Frazer, MS, RN-BC, CNE, CMSRN Kristina Petrey, MSN, RN Yalanda Baker-Scalf, MSN, RN. Objectives.

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Winds of change:

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  1. Winds of change: A struggle to win buy-in and build a strong simulation program Donna Ricketts, MSN, RN, CNE, OCN Cindy Frazer, MS, RN-BC, CNE, CMSRN Kristina Petrey, MSN, RN Yalanda Baker-Scalf, MSN, RN

  2. Objectives • Describe a process used to ensure that a simulation program was thoughtfully integrated into an ADN curriculum. • Discuss the literature regarding the use of simulation in nursing education. • Discuss techniques to obtain faculty buy-in for simulation in a nursing education program. • Determine specific questions that must be answered regarding development of simulation in a curriculum.

  3. The simulation Task force Donna Ricketts, MSN, RN, CNE, OCN

  4. Rationale for Task Force • Clinical Inconsistency • Limited clinical sites • Recognition of emerging trends

  5. Formulation of Task Force • Grant funding • Simulation Task Force committee members • Choice of clinical release time/overtime pay

  6. Original Goal • Department Chair envisioned a formal simulation program to start in the Spring of 2011 • Task force considering space, faculty & staffing issues, and equipment needed for a “simulation center”

  7. Changes in Focus • Progressed to incorporating simulation into curriculum . • Concepts that may be better taught using simulation • Opportunity for faculty to use simulation to meet student learning outcomes

  8. Process and Timeline • September 3: Feedback from colleagues and seek programs to tour • September 17: Literature search and feedback of each level • October 1: Formulate a vision, review student learning outcomes

  9. Process and Timeline • October 15: First draft of simulation plan, continue to tour facilities • January 2011: Report to faculty

  10. Vision Simulation will be utilized throughout the ADN curriculum to enhance didactic content and as a method to provide equitable client experiences for all students.

  11. Review of the Literature Cindy Frazer, MS, RN-BC, CNE, CMSRN

  12. Literature Review Method • 4 independent reviews • Results integrated

  13. Definition of simulation • No one clear definition of simulation • We defined simulation as: the act of imitating a nursing situation or process for the purposes of performance optimization including clinical reasoning, affective processing, and psychomotor skills.

  14. Efficacy of simulation for nursing education • Simulation is effective • more research needed • Gains in • Knowledge • Critical thinking • Confidence • Debriefing is critical

  15. Uses of simulation in nursing education • Student’s perceptions • Increased confidence • Enjoy the experience • Topics • Amount of simulation • NCSBN study

  16. Simulation for evaluation • Minimal research • Subjectivity • Evaluation may not be equitable • High-stakes assessment via simulation • Employment • Licensure?

  17. Faculty Buy-in Kristina G. Petrey, MSN, RN

  18. Faculty Buy-In • Why do you need the faculty on board? • Is it possible to bring in a stray faculty member or group?

  19. Faculty Buy-In • Poll the faculty • Identify the change agents • Know your team members

  20. Faculty Buy-In • Some faculty members might say: • “I don’t want to give up clinical time” • “I am not good with technology” • “Students won’t value it”

  21. Faculty Buy-In • Expand the vision of simulation • Gather like minds together • Define simulation • Literature review

  22. Faculty Buy-In • Expand the vision of simulation • Pilot simulation in one course • Involve as many faculty in process as possible

  23. Faculty Buy-In IDEAS • Where do I start? • Educate faculty members about simulation • Remind faculty that this is not a new process

  24. Faculty Buy-In IDEAS • Where do I start? • Expose faculty to simulation • Experiment with faculty during faculty development events

  25. Faculty Buy-In IDEAS • Advertise • Give student success feedback to faculty • Invite faculty members to simulation experiences

  26. Faculty Buy-In IDEAS • Advertise • Gather detailed student feedback • Suggest various uses of simulation

  27. What will work for your program? YALANDA BAKER-SCALF, MSN, RN

  28. Curriculum Goals • Accomplish student objectives • Enhance patient safety • Develop critical thinking • Promote communication skills • Increase emergency experiences • Equalize clinical experiences

  29. To Use for Student Evaluation, or Not? • Will the simulation be used for practice sessions only? • Will the simulation be used for a graded check-off?

  30. Resources Needed • Simulation Equipment • Physical Space for Lab • Other Supplies and Equipment • Cost of Training of Faculty • Faculty Time to Develop Scenarios • Pre-packaged scenarios

  31. Objectives • Describe a process used to ensure that a simulation program was thoughtfully integrated into an ADN curriculum. • Discuss the literature regarding the use of simulation in nursing education. • Discuss techniques to obtain faculty buy-in for simulation in a nursing education program. • Determine specific questions that must be answered regarding development of simulation in a curriculum.

  32. References Bambini, D., Washburn, J., & Perkins, R. (2009). Outcomes of clinical simulation for novice nursing students: Communication, confidence, clinical judgment. Nursing Education Perspectives, 30, 79-82. Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Book highlights from educating nurses: A call for radical transformation. Retrieved from http://www.carnegiefoundation.org/elibrary/educating-nurses-highlights#summary. Cant, R.P., & Cooper, S.J. (2009). Simulation-based learning in nurse education: Systematic review. Journal of Advanced Nursing, 39 (2), 3-15. Cato, M. L., Lasater, K. & Peeples, A. I. (2009). Nursing students’ self-assessment of their simulation experiences. Nursing Education Perspectives, 30, 105-108.

  33. References Crimlisk, J.T., Johnstone, D.J., & Sanchez, G.M. (2009). Evidence-based practice, clinical simulations workshop, and intravenous medications: Moving toward safer practice. MEDSURG Nursing, 18, 153-160. Decker, S. (2007). Simulations: Education and ethics. In P. R. Jeffries (Ed.), Simulation in nursing education: From conceptualization to evaluation. (pp. 11-19). New York, NY: National League for Nursing. Dreifuerst, K.T. (2009). Essentials of debriefing in simulation learning: A concept analysis. Nursing Education Perspectives, 30, 109-114. Gantt, L.T. (2010). Using the Clark simulation evaluation rubric with associate degree and baccalaureate nursing students. Nursing Education Perspectives, 31, 101-105. Havanscek, M.T. (2007). Using simulations in nursing education. In P. R. Jeffries (Ed.), Simulation in nursing education: From conceptualization to evaluation. (pp. 1-9). New York, NY: National League for Nursing.

  34. References Medley, C. & Horne, C. (2005). Educational innovations. Using simulation technology for undergraduate nursing education. Journal of Nursing Education, 44 (1), 31-34. National Council of State Boards of Nursing (NCSBN). (n.d.). The national simulation study. Retrieved from https://www.ncsbn.org/2094.htm Shepard, C.K. (2010). Investigating the use of simulation as a teaching strategy. Nursing Standard, 24, 42-48. Shiavenato, M. (2009). Reevaluating simulation in nursing education: Beyond the human patient simulator. Journal of Nursing Education, 48, 388-394. Smith, S. J. & Roehrs, C. J. (2009). High-fidelity simulation: Factors correlated with nursing student satisfaction and self-confidence. Nursing Education Perspectives, 30, 74-78.

  35. References Smith-Stoner, M. (2009). Using high-fidelity simulation to educate nursing students about end-of-life care. Nursing Education Perspectives, 30, 115-120. Smith-Ward, P. (2008) The effect of simulation learning as a quality initiative. Urologic Nursing, 28, 471-473. Task Force on Academic Health Centers, The Commonwealth Fund. (2004, February) Envisioning the future of academic health centers. Retrieved from http://www.commonwealthfund.org/Content/Publications/Fund-Reports/2003/Feb/Envisioning-the-Future-of-Academic-Health-Centers.aspx Tuoriniemi, P. & Schott-Baer, D. (2008). Implementing a high-fidelity simulation program in a community college setting. Nursing Education Perspectives, 29, 105-109

  36. Presenters • Donna Ricketts, MSN, RN, CNE. OCN • Donna.Ricketts@EKU.edu • Cindy Frazer, MS, RN-BC, CNE, CMSRN • Cynthia.Frazer@EKU.edu • Kristina Petrey, MSN, RN • Kristina.Petrey@EKU.edu • Yalanda Baker-Scalf, MSN, RN • Yalanda.Baker-Scalf @EKU.edu Eastern Kentucky University, Richmond, Kentucky

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